I also have iron deficiency and folate deficiency and vitamin D deficiency and I supplement for these advice would be appreciated results before B12 injection but after everything else thank you
Ferritin 61 range 30 - 400
MCV 78.2 range 80 - 98
MCHC 374 range 310 - 350
Haemoglobin 120 range 115 - 150
Haematocrit 0.41 range 0.37 - 0.47
Iron 10.1 range 6.0 - 26.0
Transferrin saturation % 12 range 10 - 30
Folate 2.1 range 2.5 - 19.5
Vitamin B12 244 range 190 - 900
Vitamin D total 60.3 range 50 - 75 suboptimal
Taking 1x ferrous fumarate a day and 5mg folic acid 1x week and 3000iu vitamin D and had my first B12 injection 3 months ago
List of symptoms
Hard stool
Tiredness
Goitre
Pins and needles
Hair loss
Weight gain
Puffy ankles
Heavy and irregular periods
Dry skin
Muscle cramps
Fast heart rate and weak pulse
Feeling cold
Sweating from walking a few metres
Loss of appetite
Dry eyes
Puffy eyes
Written by
Xenieb
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•Address underlying causes as necessary (for example treat menorrhagia or stop nonsteroidal anti-inflammatory drugs, if possible).
•Treat with oral ferrous sulphate 200 mg tablets two or three times a day.
◦If ferrous sulphate is not tolerated, consider oral ferrous fumarate tablets or ferrous gluconate tablets.
◦Do not wait for investigations to be carried out before prescribing iron supplements.
•If dietary deficiency of iron is thought to be a contributory cause of iron deficiency anaemia, advise the person to maintain an adequate balanced intake of iron-rich foods (for example dark green vegetables, iron-fortified bread, meat, apricots, prunes, and raisins) and consider referral to a dietitian.
• Monitor the person to ensure that there is an adequate response to iron treatment.
You should discuss your dose with your GP.
Ferritin 61 range 30 - 400
Ferriin needs to be at least 70 for thyroid hormone to work it's recommended it should be half way through it's range.
Eating liver regularly, maximum 200g per week due to it's high Vit A content, and eating lots of iron rich foods will help apjcn.nhri.org.tw/server/in...
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Folate 2.1 range 2.5 - 19.5
Vitamin B12 244 range 190 - 900
This appears to be in hand with your GP. We often see people prescribed folic acid 5mg daily though. Some people need more than 3 monthly injections.
Folate should be at least half way through it's range and B12 at the top of it's range.
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Vitamin D total 60.3
The recommended level is 100-150nmol/L according to the Vit D Council. Your 3000iu daily might be enough, or you could possibly take more until you reach the recommended level, then reduce to a maintenance dose which may be 2000iu daily, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with City Assays vitamindtest.org.uk/
There are important cofactors needed when taking D3
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds
Xenieb - then you must go back to your GP or whoever is monitoring you and ask why, after all this time, are you still iron deficient. Point out the treatment guidelines as I have posted above and tell them you want to be treated appropriately with the correct dose of FF.
Maybe you have an absorption problem. That should be investigated.
Do you take your iron tablets with 1000mg Vit C to aid absorption?
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You should point out your continuing folate deficiency and ask why you are on a weekly dose rather than a daily dose of folic acid.
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For the Vit D, increase the dose, that's easy enough. If your 3000iu D3 is prescribed, buy your own to add to it.
No I don't take iron tablets with vitamin C and my 3000iu vitamin D is shop bought and I am prescribed 800iu which my GP says I should be taking thanks
Continue with your own D3 then, and you could increase it to 5000iu daily if you wish. You need to take the cofactors mentioned. Magnesium helps D3 do it's job.
You also need to start taking 1000mg with each iron tablet.
You could have an absorption problem as that is very common with Hashi's and I will tag SlowDragon as she has lots of information about that.
Your antibodies are extremely high this is Hashimoto's, (also known as autoimmune thyroid disease). About 90% of hypothyroidism in UK is due to Hashimoto's.
Hashimoto's affects the gut, very often leading to low acid, low vitamin levels and leaky gut.
As you have Hashimoto's then hidden food intolerances may be causing issues, most common by far is gluten. Changing to a strictly gluten free diet may help reduce symptoms and eventually start to lower antibodies. Very very many of us here find it really helps and is essential to be gluten free
Many endo's have absolutely no idea about Hashimoto's. They don't understand that an apparent thyroid condition affects our guts and causes gluten intolerance
A few with Hashimoto's are actually diagnosed coeliac (about 5%) but about 88% with Hashimoto's are gluten intolerant. Should slowly lower antibodies
Increasing supplements to rectify low vitamins, going gluten free and adequate Levo, keeping TSH as low as possible. You may need additional T3 if symptoms not resolved when vitamins good and on strictly gluten free diet
Other things to consider are gut infections, can be common with Hashimoto's. Candida, H Pylori etc
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